MR. Michael Glen Peck JR., IDC
NPI #1407898539 in Pearl Harbor, Hawaii
Provider Information
- NPI Number
- 1407898539
- Entity Type
- Individual
- Name
- MR. Michael Glen Peck JR., IDC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 822 CLARK ST
- Address 2
- SUITE 400
- City
- Pearl Harbor
- State
- Hawaii
- ZIP Code
- 96860-4652
- Phone
- (808) 473-1094
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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